HomeMy WebLinkAbout301613 08/08/16 1 u�_4AAb
CITY OF CARMEL, INDIANA VENDOR: 00350523
d �l ONE CIVIC SQUARE APPARATUS SERVICE CORP CHECK AMOUNT: $*******460.00*
:• ,Q CARMEL, INDIANA 46032 5546 ELMWOOD CT CHECK NUMBER: 301613
INDIANAPOLIS IN 46203 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 28049 460.00 OTHER EXPENSES
VOUCHER # 165814 WARRANT# ALLOWED
350523 IN SUM OF $
APPARATUS SERVICE CORP
5546 ELMWOOD CT.
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
28049 01-7360-02 460.00
Voucher Total 460.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350523
APPARATUS SERVICE CORP Purchase Order No.
5546 ELMWOOD CT. Terms
INDIANAPOLIS, IN 46203 Due Date 7/27/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/27/2016 28049 460.00
hereby certify that the attached invoice(s), or bill(s) is (are)true and
;oorect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
PP�R�TllS Invoice
DATE INVOICE
5546 ELMWOOD CT.
INDIANAPOLIS,IN 46203 5/23/2016 28049
BILL TO SHIP TO
CITY OF CARMEL T= 01" CARMEL
9609 HAZEL DELL PKWY. 9609 HAZEL DELL PKWY.
INDPLS, IN 46280 INDPLS, IN 46280
P.O. NO. TERMS DUE DATE REP
5/23/2016
ITEM QTY DESCRIPTION U/M RATE AMOUNT
RENTAL 1 RENTAL OF CONFINED SPACE 460.00 460.00
SYSTEM
TRIPOD WITH CHAIN S/N 215
HOSIT WITH HANDLE S/N 264
LIFELINE W/PULLEY S/N 337
2 WEEK RENTAL
Sales Tax (0:00) $0.00
E-MAIL ADDRESS: Total $460.00
jbrenner@donleysafety.com
Phone (317) 786-2491
Fax (317) 786-2532